Laci Smalley, RD, LDN
Individual provider Active NPI Registered Dietitian · Kinder, LA
NPI 1285873497 · NPPES record last updated May 19, 2016
Key facts
- NPI
- 1285873497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2065 (LA)
- Practice address
- 287 Panther Trail Drive
Kinder, LA 70648 - Phone
- (337) 738-4180
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2065 | LA | MD | Primary Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2065 | LA | Yes |
Addresses
Primary practice location
287 Panther Trail Drive
Kinder, LA 70648
Mailing address
PO Box 1536
Kinder, LA 70648-1536
Phone (337) 738-4180
Other providers in Kinder, LA
- Donna Lynn Roberts
- Thomas Jay Roberts
- Carson Schniers
- Amy Doguet Simon
- Sincererx Hometown Pharmacy LLC
- Michael Sonnier
- Stat Home Health of Southwest Louisiana LLC
- Therapy Solutions Inc
- Ejiro Edward Ughovwa
- Vestra Health LLC
All providers in Kinder, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.